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Prevalence of Glaucoma Capsulare and Cataract in Patients withOcular Pseudo Exfoliative Syndrome

Sujani Narendar Bairy* , Sujani Narendar Bairy* , Pravenya Praveen Kemidi**

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Ophthalmology and Allied Sciences 3(1):p 37-44, January - June 2017. | DOI: DOI: http://dx.doi.org/10.21088/oas.2454.7816.3117.6

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Abstract

 Introduction: Pseudoexfoliation is a complex ocular disorder having increased production and accumulation of fibrillar material in the anterior segment of eye. It is more commonly seen with increasing age. Lindberg was the first author to observe pseudo-exfoliation material in 50% of his glaucoma patients. Vogt observed these findings with open angle glaucoma and proposed the name ‘glaucoma capsulare’. Aims and Objectives: To find the prevalence of glaucoma capsulare and cataract in patients with pseudoexfoliation syndrome in the population visiting Mamata Medical College and General Hospital, Khammam. Materials and Methods: This was a prospective, one year study conducted in the department of Ophthalmology, Mamata Medical College, Khammam. The study population consisted of 90 patients of ocular psudoexfoliative syndrome. Complete ocular examination was done in all subjects to detect glaucoma capsulare and cataract. Observations and Results: The incidence of glaucoma capsulare and cataract in PES was 18.05% and 81.94% respectively. Glaucoma capsulare increased with increasing age, was more common in males and more often unilateral. Mean Intra-ocular pressure in glaucomatous eyes was 33.82 (SD±10.79) mm of Hg. Visual acuity was poor in these patients because of cataract, glaucoma or both. More the number of pseudo-exfoliation syndrome signs and less the angle width, the higher the chances of raised intra-ocular pressure was noted. (p<0.001). Conclusions: Glucomacapsulare and cataract are common in patients having pseudoexfoliation syndrome. Glaucoma capsulare becomes more common with increasing age, affects males more than females, is more often unilateral, leading to poor visual acuity and its risk increases with the severity of pseudoexfoliation. Appropriate ophthalmologic evaluation of patients with peudoexfoliation syndrome is recommended at an early stage so as to prevent complications.

Keywords: Pseudo Exfoliation Syndrome; Glaucoma Capsulare; Cataract; Visual Acuity.

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DOI: DOI: http://dx.doi.org/10.21088/oas.2454.7816.3117.6

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